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Hank (Henry) Little
DOX1283 OPAS 1962 PWD

05649 958344 / 0249338693
gale_little@example.com
NHS Number: 4331412563
Demographics missing
Mixed dementia
AA: Higher rate
Council tax: Declined to apply
Driving: Advised to inform
Blue badge: Applied/applying
Health & wellbeing LPA: Declined to apply
Property & finance LPA: Advice given
Carer
Chadwick Kling (son-in-law)
DOX1284
OPAS 1963
93 yrs (21/8/1932)
074731963323 / 04080 156884
Health LPA

Chadwick Kling (son-in-law)

Carer Health LPA
View profile | Edit relationship
OPAS ID: 1963
Phone: 074731963323 / 04080 156884
Email: chadwick_kling@example.com
Address: 579 Meredith Ville, Suite 381, South Deloras, FQ85 4TG

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PWD's personal background e.g. who are they, what did they do, what do they enjoy etc.

What effect is dementia having on their memory and behaviours? Are they aware of the diagnosis (insight)?

What dementia medication are they taking? How are they finding it? Who assists? Do they have a blister pack?

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Referred to Small Good Stuff

Will appear below list of carers. How are they coping? Is the support fit for purpose?

Also include any volunteer befrienders here

Will appear below 'Core Advice' on summary

Anything else to include on the case summary